Provider Demographics
NPI:1003835406
Name:KNECHTEL, SUSAN MOIRA (MMT, LPC, LCAT,MT-BC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MOIRA
Last Name:KNECHTEL
Suffix:
Gender:F
Credentials:MMT, LPC, LCAT,MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 COLONIAL DR
Mailing Address - Street 2:MUSIC THERAPY...HEARTFELT SOUNDS (MTHS)
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1001
Mailing Address - Country:US
Mailing Address - Phone:412-370-0181
Mailing Address - Fax:
Practice Address - Street 1:461 COLONIAL DR
Practice Address - Street 2:MUSIC THERAPY...HEARTFELT SOUNDS (MTHS)
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1001
Practice Address - Country:US
Practice Address - Phone:412-370-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002474101YP2500X
PA04981225A00000X
NY00089-1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist